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NPI Code Detail

MEDICARE: ALLYSON DAWNE MAZE CRNA

MEDICARE: ALLYSON DAWNE MAZE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAP124240TX
2367500000XCertified Registered Nurse Anesthetist083404SC

General Provider Information

NPI Number : 1255662060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON DAWNE MAZE CRNA
Provider Business Mailing Address
First Line : 13349 TERLINGUA CREEK DR
Second Line :
City : FRISCO
State : TX
Zip : 75033-3233
Country : US
Telephone Number : 864-630-4556
Fax Number :
Provider Business Practice Location Address
First Line : 6225 N STATE HIGHWAY 161 STE 200
Second Line :
City : IRVING
State : TX
Zip : 75038-2241
Country : US
Telephone Number : 864-630-4556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 12/18/2025

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Directions to “ ALLYSON DAWNE MAZE CRNA” Practice Location

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